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Kegworth Revisited: A Case for Systemic Thinking

Image of the Kegworth air incident

On 8 January 1989, British Midland Flight 92 crashed just short of East Midlands Airport, killing 47 people. But the Kegworth disaster wasn’t just about a mistaken decision, it was the result of multiple system failures.

On Crafting Effective and Safe Procedures 

In safety-critical industries, having a procedure isn’t enough—it needs to be both accurate and user-friendly. A well-crafted procedure can enhance safety, reduce risks, and streamline operations, but only if it’s easy to follow and understand.

Incident Investigation: Swimlanes & Sequentially Timed Events Plotting (STEP)

Lydea’s latest blog uncovers Swimlane diagrams as a powerful tool for incident investigation. Featuring a detailed case study on the AB Specialty Silicones explosion in 2019, learn how this tool can map out complex processes, identify latent conditions and active failures, and enhance your understanding of critical events.

SHERPA: Innovative Software for HFI in Defence (Part 1)

Mary Goode recently joined HRA to develop and manage our accounts in the Defence sector. Mary has worked in Defence for over 35 years and, in a series of blogs over the coming months, she will be exploring how she thinks HRA’s innovative software tool, SHERPA, could be used to support Human Factors Integration (HFI) in Defence. In this blog, she discusses how SHERPA can support Tasks Analyses and explore some of the key technical and project management benefits.